What is a Laminectomy?

Laminectomy is surgery to remove the lamina. This is part of the bone that makes up a vertebra in the spine. Laminectomy may also be done to remove bone spurs in your spine. Also known as decompression surgery, laminectomy enlarges your spinal canal to relieve pressure on the spinal cord or nerves.

This pressure can be caused by a variety of problems, including bony overgrowths within the spinal canal (spinal stenosis) or by a herniated disk. Laminectomy is most commonly performed on the vertebrae in the lower back and in the neck.

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Laminectomy is generally used only when more-conservative treatments such as medication and physical therapy have failed to relieve symptoms. Laminectomy also may be recommended if symptoms are severe or worsening dramatically.

One of the most common reasons for a laminectomy in the lumbar region is a prolapsed or herniated intervertebral disc. If the herniated disc is in this region, it can cause sciatic nerve pressure with pain radiating down the leg, as well as weakening of the muscles in the leg, and some loss of sensation in the leg and foot. It may also be difficult to raise your leg when it is held in a straight position due to pain.

Another common reason for a laminectomy is degeneration or arthritis of the spine. This leads to narrowing of the pathways that nerves travel through (vertebral canal or foraminae) and can also cause sciatic nerve pressure. It may be difficult to walk due to aching or burning in the legs after short distances (claudication).

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